Damaris W Kongo, REGISTERED NURSE - Medicare Nurse Practitioner in Ludlow, MA

Damaris W Kongo, REGISTERED NURSE is a medicare enrolled "Registered Nurse - Community Health" in Ludlow, Massachusetts. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Center For Human Development, Inc. and her current practice location is 39 Allison Ln, Ludlow, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 530-7318.

Damaris W Kongo is licensed to practice in Massachusetts (license number RN270089) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376114009.

Contact Information

Damaris W Kongo, REGISTERED NURSE
39 Allison Ln,
Ludlow, MA 01056-9201
(413) 530-7318
Not Available

Map and Direction




Provider's Profile

Full NameDamaris W Kongo
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location39 Allison Ln, Ludlow, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Damaris W Kongo graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1376114009
  • Provider Enumeration Date: 07/03/2021
  • Last Update Date: 01/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779977707
  • Enrollment ID: I20220308001367

Medical Identifiers

Medical identifiers for Damaris W Kongo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376114009NPI-NPPES
S31366290OtherMADRIVERS LISENCE
00000000000OtherMASOCIAL SECURITY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health RN270089 (Massachusetts)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN270089 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baystate Medical CenterSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Center For Human Development, Inc.761895087435

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Damaris W Kongo allows following entities to bill medicare on her behalf.
Entity NameCenter For Human Development, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912099219
PECOS PAC ID: 7618950874
Enrollment ID: O20041129000514
Entity NameSpringfield Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992589535
PECOS PAC ID: 5496198848
Enrollment ID: O20240213001802

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Damaris W Kongo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Damaris W Kongo, REGISTERED NURSE
39 Allison Ln,
Ludlow, MA 01056-9201

Ph: (413) 530-7318
Damaris W Kongo, REGISTERED NURSE
39 Allison Ln,
Ludlow, MA 01056-9201

Ph: (413) 530-7318

Reviews and Comments


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Phone: 413-589-7176    Fax: 413-589-7710
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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